Potential aboveground biomass in drought-prone forest used for rangeland pastoralism

The restoration of cleared dry forest represents an important opportunity to sequester atmospheric carbon. In order to account for this potential, the influences of climate, soils, and disturbance need to be deciphered. A data set spanning a region defined the aboveground biomass of mulga (Acacia aneura) dry forest and was analyzed in relation to climate and soil variables using a Bayesian model averaging procedure. Mean annual rainfall had an overwhelmingly strong positive effect, with mean maximum temperature (negative) and soil depth (positive) also important. The data were collected after a recent drought, and the amount of recent tree mortality was weakly positively related to a measure of three-year rainfall deficit, and maximum temperature (positive), soil depth (negative), and coarse sand (negative). A grazing index represented by the distance of sites to watering points was not incorporated by the models. Stark management contrasts, including grazing exclosures, can represent a substantial part of the variance in the model predicting biomass, but the impact of management was unpredictable and was insignificant in the regional data set. There was no evidence of density-dependent effects on tree mortality. Climate change scenarios represented by the coincidence of historical extreme rainfall deficit with extreme temperature suggest mortality of 30.1% of aboveground biomass, compared to 21.6% after the recent (2003-2007) drought. Projections for recovery of forest using a mapping base of cleared areas revealed that the greatest opportunities for restoration of aboveground biomass are in the higher-rainfall areas, where biomass accumulation will be greatest and droughts are less intense. These areas are probably the most productive for rangeland pastoralism, and the trade-off between pastoral production and carbon sequestration will be determined by market forces and carbon-trading rules

The experience of mindfulness in Western therapeutic encounters; practitioner's perspective

Background: Mindfulness has become increasingly popular in recent psychotherapeutic literature that strongly indicates its use for the treatment of a variety of psychiatric disorders. It has been incorporated into cognitive behaviour based models such as Mindfulness-Based Cognitive Behavioural Therapy (MBCBT), and Dialectical Behavioural Therapy (DBT), as well as specific model of treatment for chronic pain, Mindfulness Based Stress Reduction (MBSR). These models in particular have attracted a significant amount of outcome research that consistently suggests that they are of benefit to specific clinical populations. MBCBT and DBT are recognised as evidence based treatments of choice by organisations such as the National Institute for Clinical Excellence (NICE) in the United Kingdom. Clinically, it is something that I have some limited awareness (during DBT training, and through awareness clinical literature), and have been interested in finding out more about it. Despite these findings however, there is no established definition of mindfulness, no consensus of what it does, and no shared understanding in literature of what it means to be Mindful. Furthermore, Mindfulness originated in Buddhism around 2,500 years ago and is therefore closely related to this discipline and Eastern culture in general. These are issues that have also received little attention in the research. Mindfulness therefore finds itself in a relatively unusual position in terms of therapeutic research, generally being accepted as a beneficial and helpful practice, but with no clear understanding of what it really is, or how it works. This research attempts to explore these questions further by presenting the perspectives of psychological practitioners who routinely use Mindfulness in their therapeutic practice. Working back perhaps from the outcome literature, this research attempts to capture the participant's experience of Mindfulness therapeutically, what they feel it is, how they experience it in their clinical work with clients, and what it means to them personally, professionally and culturally. Method/ Analysis: Given that the research is based on capturing individual, phenomenological processes, qualitative methods were seen as the most appropriate methodology. As the research involves exploring the each participant's perspective with the aim of providing general themes between accounts, Interpretative Phenomenological Analysis (IPA) was chosen. IPA also recognises the role of the researcher and their potential biases, e.g. a therapist with some basic awareness of Mindfulness, as a feature within the research methodology. Recruitment letters were sent to Community Mental Teams (CMHTs), Psychology, Psychotherapy and Psychiatry Departments, and local University throughout a specific region in the United Kingdom (Devon). Participants were required to be currently working as therapists who described themselves as using Mindfulness within their clinical practice. Five from an initial response of nine participants were interviewed. Reasons for attrition included, moving job, moving area, and pregnancy resulting in change of life circumstances. The participants were three women and two men aged between their late thirties to late fifties. Professional backgrounds included Social Work Occupational Therapy, and Core Process psychotherapy, and all worked within NHS settings, and some private work. Interviews were transcribed and subject to a thematic analysis using IPA that produced three master themes. Cohen's Kappa was used to test for inter-rater reliability. Results/ Conclusion: Three master themes were identified; the Culture and Context of Mindfulness, The Subjective Experience of Mindfulness and Being a Mindfulness Practitioner. These were explored in terms a concept called 'Being-With'. 'Being-With' explored the results in terms of literature concerning core therapeutic conditions, therapeutic process, and the presence of the therapist. It was concluded that this term described the interpersonal and process based nature of Mindfulness, as well as capturing the participant's perspective that Mindfulness was not a technique but a therapeutic attitude or way of being based on ongoing personal and experiential practice. The findings are critiqued and suggestions for further research discussed

Vegetation responses to the first 20 years of cattle grazing in an Australian desert

Existing theoretical frameworks suggest three predictions relevant to grazing effects in Australian aridlands: grazing has a negative but moderate effect on plant species richness; a separate "state" resulting from degradation caused by extreme grazing will be evident; some plant species will have a strong association with grazing relief refuges that have only ever been subject to light grazing. These predictions were examined in the dune swales of an Australian desert, with data on herbaceous species collected along transects up to 14 km from artificial water points between four and 33 years old. A cumulative grazing index was constructed utilizing both the spatial occupation patterns of cattle and the length of exposure. Despite restricting sampling to a narrow habitat, silt/clay content and soil pH influence floristic patterns independent of grazing. The analysis of quadrat data in relation to grazing revealed almost no patterns in plant cover, species richness (at two different scales), or abundance across plant life-form groups. Five species had an increasing response, and seven a decreasing response, while the only species restricted to areas of extremely low grazing pressure was sufficiently rare that it could have occurred there by chance. The dominant annual grass, the most common shrub, and a perennial tussock-forming sedge all decrease with high levels of grazing. Most species exhibit an ephemeral life strategy in response to unreliable rainfall, and this boom and bust strategy effectively doubles as an adaptation to grazing. After 20 years of exposure to managed grazing with domestic stock in Australian dune swales, patterns in species richness have not emerged in response to grazing pressure, the ecosystem has not been transformed to another degradation "state," and there is no evidence that grazing relief refuges provide havens for species highly sensitive to grazing

Fatal case of sorafenib-associated idiosyncratic hepatotoxicity in the adjuvant treatment of a patient with renal cell carcinoma.

BACKGROUND: Sorafenib is an orally available kinase inhibitor with activity at Raf, PDGFβ and VEGF receptors that is licensed for the treatment of advanced renal cell carcinoma (RCC) and hepatocellular carcinoma (HCC). Current evidence-based post-nephrectomy management of individuals with localized RCC consists of surveillance-based follow up. The SORCE trial is designed to investigate whether treatment with adjuvant sorafenib can reduce recurrence rates in this cohort. CASE PRESENTATION: Here we report an idiosyncratic reaction to sorafenib resulting in fatal hepatotoxicity and associated renal failure in a 62 year-old man treated with sorafenib within the SORCE trial. CONCLUSION: This is the first reported case of sorafenib exposure associated fatal toxicity in the adjuvant setting and highlights the unpredictable adverse effects of novel adjuvant therapies.RIGHTS : This article is licensed under the BioMed Central licence at http://www.biomedcentral.com/about/license which is similar to the 'Creative Commons Attribution Licence'. In brief you may : copy, distribute, and display the work; make derivative works; or make commercial use of the work - under the following conditions: the original author must be given credit; for any reuse or distribution, it must be made clear to others what the license terms of this work are

Multicenter Evaluation of Candida QuickFISH BC for Identification of Candida Species Directly from Blood Culture Bottles

Candida species are common causes of bloodstream infections (BSI), with high mortality. Four species cause >90% of Candida BSI: C. albicans, C. glabrata, C. parapsilosis, and C. tropicalis. Differentiation of Candida spp. is important because of differences in virulence and antimicrobial susceptibility. Candida QuickFISH BC, a multicolor, qualitative nucleic acid hybridization assay for the identification of C. albicans (green fluorescence), C. glabrata (red fluorescence), and C. parapsilosis (yellow fluorescence), was tested on Bactec and BacT/Alert blood culture bottles which signaled positive on automated blood culture devices and were positive for yeast by Gram stain at seven study sites. The results were compared to conventional identification. A total of 419 yeast-positive blood culture bottles were studied, consisting of 258 clinical samples (89 C. glabrata, 79 C. albicans, 23 C. parapsilosis, 18 C. tropicalis, and 49 other species) and 161 contrived samples inoculated with clinical isolates (40 C. glabrata, 46 C. albicans, 36 C. parapsilosis, 19 C. tropicalis, and 20 other species). A total of 415 samples contained a single fungal species, with C. glabrata (n = 129; 30.8%) being the most common isolate, followed by C. albicans (n = 125; 29.8%), C. parapsilosis (n = 59; 14.1%), C. tropicalis (n = 37; 8.8%), and C. krusei (n = 17; 4.1%). The overall agreement (with range for the three major Candida species) between the two methods was 99.3% (98.3 to 100%), with a sensitivity of 99.7% (98.3 to 100%) and a specificity of 98.0% (99.4 to 100%). This study showed that Candida QuickFISH BC is a rapid and accurate method for identifying C. albicans, C. glabrata, and C. parapsilosis, the three most common Candida species causing BSI, directly from blood culture bottles

Fifteen new risk loci for coronary artery disease highlight arterial-wall-specific mechanisms

Coronary artery disease (CAD) is a leading cause of morbidity and mortality worldwide. Although 58 genomic regions have been associated with CAD thus far, most of the heritability is unexplained, indicating that additional susceptibility loci await identification. An efficient discovery strategy may be larger-scale evaluation of promising associations suggested by genome-wide association studies (GWAS). Hence, we genotyped 56,309 participants using a targeted gene array derived from earlier GWAS results and performed meta-analysis of results with 194,427 participants previously genotyped, totaling 88,192 CAD cases and 162,544 controls. We identified 25 new SNP-CAD associations (P < 5 × 10(-8), in fixed-effects meta-analysis) from 15 genomic regions, including SNPs in or near genes involved in cellular adhesion, leukocyte migration and atherosclerosis (PECAM1, rs1867624), coagulation and inflammation (PROCR, rs867186 (p.Ser219Gly)) and vascular smooth muscle cell differentiation (LMOD1, rs2820315). Correlation of these regions with cell-type-specific gene expression and plasma protein levels sheds light on potential disease mechanisms